FORM 1023-EZ for KONA HAWAIIAN QUILT MUSEUM SOCIETY

Field Data
EIN 81-1119240
Case Number EO-2016054-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KONA HAWAIIAN QUILT MUSEUM SOCIETY
Organization’s Mailing Address P O BOX 4748
City KAILUA KONA
State HI
ZIP 96745
Accounting period End 12
Primary contact name KAREN BARRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN DISTEL
DIRECTOR
76-6277 U UKU PL
KAILUA KONA HI 96740

Officer/Director/Trustee Two

MARY MOODY COX
DIRECTOR
HC2 BOX 6229
KEAAU HI 96740

Officer/Director/Trustee Three

JEANETTE VATER
DIRECTOR
83-5437 PAINTED CHURCH RD
CAPTAIN COOK HI 96740

Officer/Director/Trustee Four

LOUISE WAGNER
DIRECTOR
P O BOX 9020
KAILUA KONA HI 96740

Officer/Director/Trustee Five

KAREN BARRY
DIRECTOR
77-6450 NALANI ST
KAILUA KONA HI 96740

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2016
Organization Incorporation State HI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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